Laporan Kes Kesalahan Disiplin Murid

LAPORAN KES KESALAHAN DISIPLIN MURID (Diisi Oleh Guru)

:_____________________________________ _______________________________________ _____________________________________  _________________  Tarikh:__________________ Nama Murid:_____________________ :________________________________________ ______________________________________ ____________________________  _________  Tahun:____________________________________ :________________________________________________________ ______________________________________  __________________  No Surat Beranak/ No Kad Pengenaan :______________________________________________  Ke!aahan:____________________ :________________________________________ _______________________________________ _______________________________  ____________  Tem"at Ke#adian:____________________ :_______________________________________ ______________________________________ __________________________  _______  Butiran Ke!:  ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______   ______________________________________  __________________ _______________________________________ ______________________________________ _________________________  ______  Sak!i Ke#adian:

1. 2. 3.

Perakuan $uru Di!i"in:

Saya mengaku bahawa murid di atas telah melakukan kesalahan disiplin. semua keterangan di atas sesunggunya adalah benar dan diatat bagi menentukan hukuman atas kesalahan murid.

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Disahkan Oleh: !!!!!!!!!!!!!!!!!!!!!!.. ( )